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General NPI Number Information
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NPI Number | 1568501633
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Entity Type | Organization
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Legal Business Name | QUEST DIAGNOSTICS CLINICAL LABORATORIES INC
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Dates
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Enumeration Date | 02/06/2007
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Last Update Date | 09/21/2012
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Provider Practice Location Address
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Address Line | 1351 JEFFERSON ST SUITE 120
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City | WASHINGTON
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State | MO
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Zip | 63090-6449
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Country | US
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Telephone | 636-390-4114
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Fax |
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Provider Business Mailing Address
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Address Line | 1001 ADAMS AVE MRGOV 2ND FLOOR
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City | NORRISTOWN
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State | PA
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Zip | 19403-2429
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Country | US
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Telephone | 484-676-7000
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Fax | 484-676-5309
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Authorized Official
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Title or Position | VP OF REVENUE SERVICES
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Name | GERALD SCOTT CARTIER
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Credential |
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Telephone | 484-676-7000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number | 26D099833
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License Number State | MO
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